HomeMy WebLinkAboutBuilding Permit Application 5
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��`�o�a6 PermitNumber: ��\6 kNs
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Building Permit Application
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort.Pierce FL 34982
Phone: (772)4.62-1553 Fax: (772)462-1578 Commercial Residential _V
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 6138 Alexandria Cir,Fort Pierce,FL 34982
Property Tax ID#:3410-503-0316-000-0 Lot No.
Site Plan Name: Block No.
Project Name:.William &Alma Bennet
DETAILED'DESCRIPTION OF WORK:
Install Hurricane Protection Products on(8)openings
CONSTRUCTION INFORMATION:
Additional workto be performed underthispermit—checkallthatapply:
_Mechanical _Gas Tank _Gas Piping VShutters -Windows/Doors
Electric —Plumbing. _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$4952.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NanieWilliam &Alma Bennet Name:Noreen E.Rayner
Address:6138 Alexandria Cir Company:Storm Smart of Southeast
City: Fort Pierce State:FL Address: 4047 Okeechobee Blvd, Ste 106
Zip Code: 34982 Fax:' City:West Palm Beach State:FL
Phone No. Zip Code: 33409 Fax:
E-Mail: Phone No 561-229-0048
Fill in fee simple Title Halder on next page(if different E-MailPermitting@StormSmartSE.com
from the Owner listed above) State or County License CRC1332755 3i
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Add ress: Add ress:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Ad d cess: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenantsthat may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie Cod nty Amendments.
The following building permit applications are exempt from undergoing afull concurrency review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Noreen Rayner(Sep ,202011:17 EDT)
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF F I C! STATE OF COUNTY OF FLORIDA
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COUNTY OF //��
The for oing instrument was acknowledged before me The for oing instrument was acknowledged before me
this 6 day of c,�W t ,20� by this day of S f— 209.0 by
Our) �3 et�n�e -� _� � a -----
Name of person making statement. Name of person making stat me---
Personally Known —OR Produced Identification_ ✓ Personally Known OR Produced Identification
Type of IdentificationYesenia Sarzuela Type of ifi n
ptPRY AS
Produced D L ���', =Iso ARY PUBLIC Produce --- �
Yesenia Sarzuela
o ', -STATE OF FLORIDA o��:: 1-, sow NOTARY PUBLIC
f Comm#GG317472 ""`'„ -STATE OF FLORIDA
El 0 Ex ires 3/28/2023 _ _ a Comm#GG317472
(Si a re of Notary Public-State of Florida I { ' natur of Notary Public-State f ci$i a )Expires 3/28/2023
Commission No.12102 11M, (Seal) Com n No. G,G3�4� Z (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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